Individual
DEVON ELIZABETH GANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
651 ROUTE 73 N STE 311, MARLTON, NJ 08053-3446
(856) 985-8100
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA10126300
NJ
Other
Enumeration date
06/17/2014
Last updated
06/18/2021
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